复发性喉癌行挽救性手术治疗保留喉功能的可行性分析  

THE FEASIBILITY ANALYSIS OF RECURRENT LARYNGEAL SALVAGE SURGERY FOR LARYNGEAL FUNCTION PRESERVATION PATIENTS

作　　者：姜义道[1] 

机构地区：[1]湖北省荆州市中心医院耳鼻咽喉头颈外科,434100

出　　处：《中国煤炭工业医学杂志》2013年第11期1823-1824,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的回顾性分析复发性喉癌患者实施挽救性手术治疗保留喉功能的效果,为复发性喉癌的治疗提供参考。方法选取40例实施挽救性手术治疗且要求保留喉功能的复发性喉鳞状细胞癌的患者作为研究对象,观察治疗并发症和生存率。结果 6例(15.0%)患者发生并发症,主要并发症为颈部皮瓣下积血、感染,咽皮肤瘘和局部组织坏死、吻合口开裂,经积极对症治疗后均恢复,患者喉部发音和呼吸功能保留较好。术后肿瘤局部控制率较好(80%)。术后随访2年生存率82.5%(33/40)。结论保留喉部功能的手术治疗应对患者肿瘤发生部位、肿瘤类型、手术指征等综合考虑,同时,有效的抗癌治疗和规范的术后随访对于该类患者的预后具有十分重要的临床意义。Objective To retrospective analyze the feasibility of recurrent laryngeal salvage surgery in pa- tients with laryngeal function preservation. Methods Forty cases of laryngeal squamous cell carcinoma im- plemented salvage surgery and all required preservation of recurrent laryngeal function were chosed for the study, the complications and survival were observed. Results Six cases （15.0K） of patients were with complications, and the major complications included neck flap blood clots, infection, skin pharyngeal fistula and local tissue necrosis, anastomotic cracking, all were recovery after active symptomatic treatment. The patients＂ throat pronunciation and respiratory function were preserved well. The local tumor control rate after surgery was better（80% ）. The survival rate was 82.5% （33/40） after two- year postoperative follow - up. Conclusions Surgical treatment for preserving patients＂ laryngeal function should be considered the tumor site, tumor type, surgical indications and so on. Effective anticancer treatment and standard followed up for the prognosis of these patients are very important.

关 键 词：复发性喉癌 手术 挽救性 喉功能 

分 类 号：R739.65[医药卫生—肿瘤]